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NPI Code Detail

MEDICARE: ILARIA GIULIANA BUSIO LCMHC-A

MEDICARE: ILARIA GIULIANA BUSIO LCMHC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorA19079NC

General Provider Information

NPI Number : 1992488225
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILARIA GIULIANA BUSIO LCMHC-A
Provider Business Mailing Address
First Line : 5510 SIX FORKS RD STE 125
Second Line :
City : RALEIGH
State : NC
Zip : 27609-3884
Country : US
Telephone Number : 919-861-4111
Fax Number :
Provider Business Practice Location Address
First Line : 5510 SIX FORKS RD STE 125
Second Line :
City : RALEIGH
State : NC
Zip : 27609-3884
Country : US
Telephone Number : 919-861-4111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2023
Last Update Date : 08/11/2023

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1033959218 — ABIGAIL FAITH SIGSWORTH LCMHCA
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1750122719 — MARY ELIZABETH GARDNER MSW, LCSWA
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1871390641 — MR. ANDRAE JULIAN TURNER MSW, LCSW-A
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Directions to “ ILARIA GIULIANA BUSIO LCMHC-A” Practice Location

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